Founding Engineer
Company hidden until unlock
- Work model
- Onsite
- Location
- Durham
- Posted
- 5d ago
javascripttypescriptpythonnext.jspostgresawsdockerterraformllm
Company hidden until unlock
ABOUT THE ROLE This is a founding engineering role at a fast-moving healthtech startup building AI-powered patient recruitment infrastructure for clinical trials across North America. You'll work directly at the core of the platform — shaping architecture, shipping product, and driving the technical direction of a small, high-caliber team where your impact will be immediate and tangible. WHAT YOU'LL DO - Orchestrate a fleet of AI agents coordinating patient recruitment workflows across hundreds of clinical trials. - Scale LLMs across voice, SMS, and email channels while maintaining consistent, personalized conversations throughout. - Build integrations into customer systems, including custom integrations for specific software versions and configurations. - Tune AI agent conversations and develop workflows for indication-specific screening logic and calculations. - Develop call center management tooling and optimal scheduling algorithms for recruiters and clinical research coordinators. - Reverse-engineer legacy healthcare systems that lack public APIs to integrate with existing clinical site tooling. WHAT WE'RE LOOKING FOR - 5+ years of full-stack or AI/ML engineering experience, with at least 3 years shipping user-facing products in production. - Full-stack development capabilities across frontend and backend — proficiency in Python, TypeScript, and JavaScript required. - Experience with the broader stack: Next.js, PostgreSQL, AWS, Terraform, and Docker a plus. - Strong CS fundamentals and demonstrated ability to make sound architectural decisions independently. - Background at a top-tier tech company, high-growth VC-backed startup, or quantitative trading firm preferred. - Strong academic foundations in CS, EECS, or Mathematics, with evidence of high performance (TA experience, notable side projects, or internships at well-regarded organizations). - Experience building applied LLM or agentic AI products. - Comfort operating in early-stage, ambiguous environments with self-directed work. - Healthcare or life sciences domain knowledge is a meaningful plus. COMPENSATION & BENEFITS Base salary range: $170,000 – $250,000 USD annually. Visa sponsorship is available. LOCATION On-site in Durham, NC, United States.